Healthcare Provider Details

I. General information

NPI: 1336764950
Provider Name (Legal Business Name): ANNE RHYS BALENTINE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH SCHRAFF

II. Dates (important events)

Enumeration Date: 06/09/2020
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 7TH AVE
SEATTLE WA
98104-1132
US

IV. Provider business mailing address

7600 EVERGREEN WAY
EVERETT WA
98203-6421
US

V. Phone/Fax

Practice location:
  • Phone: 206-860-5414
  • Fax:
Mailing address:
  • Phone: 206-860-5414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP61346643
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60981125
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: